Follow Forum_Psych on Twitter

Display results as :

Rechercher Advanced Search

We have 222 registered users
The newest registered user is raheelmemon

Our users have posted a total of 1140 messages in 613 subjects
If you are seeing this, you have attempted to link to the UpToDate widget but are experiencing a problem. Please visit UpToDate for more information.

Ethics Question

Go down

Ethics Question Empty Ethics Question

Post  Admin on Fri Dec 28, 2012 12:06 pm

Q. A 16 yo M presents to the ER in anaphylaxis. He accidentally ate a candy bar with peanuts, despite a peanut allergy. He states this has happened multiple times before, and he would like to have steroids and diphenhydramine (Benadryl) only. His lips are swollen, and you would normally opt to give an intra-muscular dose of epinephrine for angioedema. While he admits this reaction is worse than normal, he does not want a shot. His aunt states “whatever junior here says.” What is the most appropriate response?

(a) Thoroughly explain to the pt the risks/benefits of epinephrine, and if he still refuses, document the conversation in your chart and allow him to leave against medical advice after giving the steroids/Benadryl.
(b) Contact the pt's PCP, and have him/her try to convince the patient of the necessity for emergent treatment.
(c) Give the intra-muscular dose of epinephrine anyway.
(d) Give steroids/Benadryl and observe the patient. If he decompensates further and becomes unresponsive, then you may give the intra-muscular dose of epinephrine

For Answer Click--->

Click here to join QuantiaMD:

Ethics Question Quanti10

Ethics Question Images16Click on Ethics Question Reply_en to post your comments

Posts : 948
Points : 2102
Reputation : 0
Join date : 2011-02-19
Location : Philadelphia

Back to top Go down

Back to top

- Similar topics

Permissions in this forum:
You cannot reply to topics in this forum